64008D - Harley

CAMA/ DREDGE & FILL ���'- 64
GENERAL PERMIT Previous permit #
New LModification ❑Complete Reissue 7Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources f"L (, �} ,
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 'f _i"� .'N.I d
It Name 1{ b �ey-i 't 6& k,
State.)c ZIP I
` (_) Fax # )
:ed Agent
❑ CW )<EW )(PTA XES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes ! no ` PNA yes =
Crit.Hab. yes
f Project/ Activity 16
ngth - � ►_ /�_
tuber
d/ Riprap length
distance offshore (]
uc distance offshore—��-
__ 'f X Zo'
Jul
e Length So
notsure yes no.
s: not sure yes no
ium: ! n/a i xes no
�; Al Kules attached.
Project Location: County rUYIS.wl (A/
Street Address/ State Road/ Lot #(s)
A5 U rhb1✓6r,
Subdivision w/A
kpitty
e # f �c�.n() 4l -6365 River Basin �,
Adj. Wtr. Body nat
Closest Maj. Wtr. Body
(Scale:
ig permit may be required by:
_.-% 1 t
El See note on back regarding River Basin r

CAMA Dailv Check Loa for WIRO
Date
Check
Received
Check From (Name)
Name of Permit Holder
Vendor
Number
Check amount
I Permit Number/Con
9/19/2014 Parker Construction Group LLC
Parker
Bank of the Ozarks
7431
$250.00 major fee, 1 Auditorium
9/19/2014 J & J Properties of Calabash 1 LLC
Calabash Marina
Citizens South
1422
$100.00 MP 74-05 renewal
9/19/2014 Seashore Realty Group, Inc.
Heritage I, LLC
Coastal Bank & Trust
3959
$100.00iMP 64-06 mod. Requea
9/22/2014 Land Management Group, Inc.
Riverside Park Marina
First Bank
44494
$475.00 major fee, Riverside Pa
9/22/2014 Howard and Janice Malpass
same
Wells Fargo
3787
$100.00 minor fee, Topsail Beac
9/22/2014 Danford & Associates Land Surveying, PC
Loder-Strickland
Wachovia
1793
$200.00 GP 64064D
9/22/2014 AC & Emily Skinner
AC Skinnard
NewBridge Bank
8478
$100.00 renewal, MP 23-07
9/22/2014 AWA Builders, Inc.
same
TD Bank
6979
$100.00 minor fee, NTB, 205 Se
9/23/2014 Geoffrey & Stacy Alexander
same
Wells Fargo
2305
$400.00 major fee, Br.Co.4302 E
9/24/2014 CFPUA
same
B of A
55808
$800.00 Vio# 14-17D
9/24/2014 Overbeck Marine Construction Inc
Whelan
SunTrust
4333
$100.00 mod. fee, MP 36-13
9/24/2014 Coastal Marine Piers Bulkheads LLC
A. Murphy
Wells Fargo
19810
$250.00 major fee, NHCo.
9/24/2014 Barry & Shari Golob
same
Lafayette Federal Credit Unic
2770
$250.00 major fee, Br. Co. Oak
9/24/2014 Willie Richardson Construction
iBB&T
5765,
$800.00 GP 64007D dPNL1GT
'*7

IC Division of Coastal Mgt. Habitat impact Computer Sheet
pplicant: � h (jL A- .( Permit
ate:
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
)und in your Habitat code sheet.
abitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fins
disturbance.
Excludes any
restoration and/
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both 0 Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

Beverly Eaves ?er^ue
rovernor,
Affl
....�` ' I
PA
HCDENR
Nc�rtt, Carolina Q-acartmen4 of Environnne tare Natural Resources
DMsion o{.roastai Management
James H. ;;re„ sari
Directory
AGENT AUTHORIZAT ION FORM
Date: Z a q
arse of Property Owner Applying for Pe,mit: cf Authorized Agent for this project:
be{' n o
e` ��; �i1Zc��or PAS
hmier's Mailing Address:
=Z _ fY/ , V S C,
more N,jimbe-
Agent's Mailing Address:
Phone Number (q fp7—()33.�
certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying
xandobtaining all CANIA Permits nocessartl to instnii or construct the following ;acVvity0:
ny property located) a;
his certification is valid V �u (date; 7 —%
l
F
Sf

125 Lun,bcr4on S--
,��a Wit.

l
IZX I4 = i q2-
I

ADJACENT SU4ALA�1 PROPEWfY OWNVR STATEMENT
WOAA PIb:8,MO©RXTG PH-WG"O.dUdFE/BOATHO 7S1)
I hereby crertify tw I mynlsrapeay adjamat to 'R obey+ -- Dmn(>.• rAayje 's
,(flame of Proper . Owner)
1'� ol` located at I a 5 L ty►� �'� ors SA • -
.(Lot, BIock, Road, etc.)
oe coirlo3 im . Hlae/11 &O-Ck N.C.,
(yaterbody) (To9m aadlor Conaty)
Aappliatnt'sphflne#is �Id--3�n7-03�5?t�siiing Tess 3a3-5 N-L
=�jaw � N%
Rc- bps desixbeet to me, as shown below, the &welopment be is prqp�rsing at.that IOU3 ion, and, .I
leave no objcctiom to his pmposai. I imderstW that a pim boor4 g pitings / boattLtt 1 bomhou.z
mnstbe sct bark a mWmltun distance offiftem feet (15) from my area ofripauan access Udm
-waivrd by rna. (Ryon visb to waive#hesetbaek, you must in KW the appiroprUte b1 k
below.)
I do nat wish to waive
I do wisli to waive ttiat se*ack requimmea
4 DESCP"TION ANMOR. DAAWMG OF PROPOSM DA,,VxLO?IYMNT1
(To heJilted -Oi by indii7dualPrbposirrg dgvelopmait)
.ravi inn.
(%formation for Property t vmer Appf,viug (Ri =mn Property Owner ). orm s1ion)
for Permit)
.3a35 &coyest
Mailiag Addryss
Girl�.tp
?rint/m Type I4ame
n
Telephone 1t4tkber
-- -S-4 --

CERTIFIED 1NLAIL -- RETURN REUIPT REQUESTED
DWISIOI`i OF COASTAL I-PLA`iA.GEMENiT
ADJACKNU RIPARIAI PROPERTY ONVN-ER STATE-iIUNT
NameofProperty Owner: -Robert' Z _norinLL ..HaYLe_
Address of Proper_y- _ I d 5 Lwm bz r4z—,n
(Lot o. Streets, Sueet or R .ad, City, & County)
App icant's pho:ie r: gJQ.:.ZkJ 0 33 5. Mailicg Address: a3 5 aacre;5t Ave
I hereby cWtify that I own property a accat to the above reffe-mazed p uperty. The individual applying for this permi'
has described to me as showy: on the attached drawing the developmeuttl ey are proposing. A descr s�tioa of &-awing
wit dimensions. must be provided with this 'ether.
I have no objections to this proposa:. I have objections to this proposal
if you have objections to what is being proposed, you must notify the -Division of Coastal Management (DCbr
is writins svithin 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive EYt
Wilcnin�ton, NC: 28405-3845. DCNI representatives can also be contacted at (910) 79647215. No response is
considered the same as no obiection if You have been notified by Certified Mail. -
WAIN;R SECTION
I understand that a pier, dock, mooring piliags, breakwater, bca:hor:se, cr Uft must be set back a minimum distance a:
15' from tiny area of riparian azeess unless waved by rna. (Nyou wish to waive the setback, you. must initial the
ropriate plank below.)
I do wish to waive the 15' set bacL _eaairement
I do not wish to waive the 15' set back, Tvquire:Tent.
i'chardS-,�
Prig: or Type Name
(Ripar iaa Property Owner Information)
sirRature
AF veL ouxb6che>' �:S
Print or yTe Name
3d35 S-P-acYest��2
Ave,�v�. Svc L
Nailing- Address _ Mailing Adcsr..ss
,5nNC. �etbra one
Cif, i State 1 lip City i State i Gip T
Tel--DboreNutnbe-_q i () Telephone Nuriher